DR. RAFAEL SERRANO M.D.
NPI 1235589599
Orthopaedic Surgery in Pittsburgh, PA

Q: What is Rafael Serrano's NPI number?

The NPI number for Rafael Serrano is 1235589599. It was assigned to this individual provider in the NPPES registry on June 17, 2016.

Q: What is Rafael Serrano's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Rafael Serrano was last updated on September 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 17, 2016PECOS EnrolledAccepts Medicare Assignment

3200 S WATER ST, PITTSBURGH, PA 15203(855) 937-7678 Get Directions Write a Review

NPPES record last updated: September 25, 2021. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: May 2, 2026, Sep 25, 2021, Jul 21, 2021 and 1 more (4 updates tracked since 2016).

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About Dr. Rafael Serrano M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAFAEL SERRANO M.D. (NPI 1235589599) is an individual orthopaedic surgery provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MT223063) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Allen Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1235589599

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. RAFAEL SERRANOCredential: M.D.

Location Address3200 S WATER STPittsburgh, PA 15203-2307

Mailing Address3200 S Water StPittsburgh, PA 15203-2307 · (412) 432-3662

Phone(855) 937-7678

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJune 17, 2016

Last NPPES UpdateSeptember 25, 20214 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2021

✔ NPI 1235589599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in PA · MT223063

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

3200 S WATER ST, Pittsburgh, PA 15203

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rafael Serrano M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002211760

PECOS Enrollment IDI20220719002099

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

80 services59 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

56 services20 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

32 services25 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allen Hospital

Acute Care Hospitals · Waterloo, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160110

Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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